Republic of the Philippines

Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CAMARINES NORTE
Pablo S. Villafuerte High School
Brgy. Matoogtoog, Mercedes, Camarines Norte

Name of Student: __________________________________________

Rating:
Grade & Section: ___________________________________________
SUBJECT: ___________________________________________
Quarter: ___________________________________________

The following are the activity sheets to be submitted of the students during the quarter period.

CHECKLIST
REMARKS:
Activity Accomplished/ not Date Signature of
Title
# accomplished / received: Subject Teacher
incomplete
LAS 1 Panimulang Gawain: Gawain 1
Pagsusuri
Paglalapat B
LAS 2 Panimulang Gawain
LAS 3 Panimulang Gawain
Paglalapat
LAS 4 Pagsusuri Gawain A
Pagsusuri Gawain B
LAS 5 Pagsusuri Gawain 2
Pagsusuri Gawain 3
LAS 6 Pagsusuri Gawain 1
LAS 7 Paglalapat
LAS 8.1 Paglalapat B
LAS 8.2 Paglalapat B
Long Quiz / Summative test
Periodical Test

Note: Long quizzes and Periodical Test will be given on the scheduled Examination date.

Prepared by:
Noted: MYRRH NINA M. RAMORES
______________________________ Subject Teacher
Student’s Adviser

Received: ______________________________
Student’s Name and Signature

______________________________
 Parent/Guardian’s Name and Signature

Republic of the Philippines

Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CAMARINES NORTE
Pablo S. Villafuerte High School
Brgy. Matoogtoog, Mercedes, Camarines Norte

Name of Student: __________________________________________

Grade & Section: ___________________________________________
SUBJECT: ___________________________________________
Quarter: ___________________________________________

CHECKLIST
Signature of Subject
Activity # Title Date Submitted
Teacher
LAS 1 Panimulang Gawain: Gawain 1
Pagsusuri
Paglalapat B
LAS 2 Panimulang Gawain
LAS 3 Panimulang Gawain
Paglalapat
LAS 4 Pagsusuri Gawain A
Pagsusuri Gawain B
LAS 5 Pagsusuri Gawain 2
Pagsusuri Gawain 3
LAS 6 Pagsusuri Gawain 1
LAS 7 Paglalapat
LAS 8.1 Paglalapat B
LAS 8.2 Paglalapat B
Long Quiz / Summative test
Periodical Test

Note: Long quizzes and Periodical Test will be given on the scheduled Examination date.
Use one whole sheet of paper for every activity.

By the end of the quarter this checklist will be submitted to the subject teacher.

Submitted by:
__________________________
Student’s Name and Signature

Received: ______________________________
Subject teacher